| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
138,556 |
54,466 |
$94.23M |
| 99283 |
|
46,992 |
42,159 |
$3.74M |
| 96365 |
|
4,477 |
3,171 |
$2.42M |
| 0241U |
|
8,890 |
8,154 |
$1.80M |
| 99284 |
|
25,087 |
22,936 |
$1.68M |
| 85025 |
|
23,756 |
18,143 |
$1.63M |
| 85027 |
|
12,012 |
9,101 |
$1.13M |
| 0202U |
|
3,971 |
3,687 |
$842K |
| 93325 |
|
8,331 |
7,450 |
$796K |
| 82803 |
|
3,964 |
3,110 |
$755K |
| 99285 |
|
7,070 |
6,349 |
$724K |
| 95810 |
|
1,022 |
964 |
$698K |
| 93306 |
|
2,462 |
2,225 |
$681K |
| 95782 |
|
1,147 |
1,080 |
$654K |
| 81025 |
|
4,497 |
3,972 |
$643K |
| 99282 |
|
6,333 |
5,802 |
$543K |
| 93303 |
|
3,466 |
3,167 |
$525K |
| 97530 |
|
7,268 |
5,140 |
$513K |
| 71046 |
|
8,408 |
7,551 |
$500K |
| 80307 |
|
1,934 |
1,617 |
$463K |
| 76770 |
|
5,064 |
4,732 |
$377K |
| 92507 |
|
7,803 |
5,818 |
$373K |
| J1100 |
Dexamethasone sodium phos |
20,416 |
17,121 |
$351K |
| 96374 |
|
3,775 |
3,328 |
$347K |
| G0463 |
Hospital outpt clinic visit |
10,198 |
7,641 |
$347K |
| 70551 |
|
3,023 |
2,804 |
$342K |
| U0002 |
Covid-19 lab test non-cdc |
3,055 |
2,667 |
$321K |
| 97110 |
|
5,439 |
3,903 |
$297K |
| 64642 |
|
963 |
909 |
$294K |
| 70450 |
|
2,602 |
2,399 |
$279K |
| 93304 |
|
1,486 |
1,354 |
$278K |
| 96450 |
|
1,585 |
1,090 |
$276K |
| 81001 |
|
12,046 |
10,779 |
$276K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
1,276 |
1,115 |
$275K |
| 87086 |
|
5,937 |
5,351 |
$246K |
| 74230 |
|
1,931 |
1,840 |
$245K |
| 93005 |
|
10,523 |
9,557 |
$236K |
| 80050 |
|
1,804 |
1,655 |
$228K |
| 74018 |
|
3,255 |
2,795 |
$221K |
| 87633 |
|
2,513 |
2,253 |
$220K |
| J2704 |
Inj, propofol, 10 mg |
18,605 |
15,148 |
$219K |
| 70553 |
|
1,677 |
1,529 |
$218K |
| 76705 |
|
3,580 |
3,260 |
$211K |
| 88305 |
|
3,120 |
2,818 |
$207K |
| 80053 |
|
24,816 |
18,696 |
$202K |
| 95819 |
|
1,023 |
917 |
$201K |
| 96375 |
|
5,045 |
3,074 |
$199K |
| 41899 |
|
5,163 |
3,414 |
$197K |
| J3010 |
Fentanyl citrate injection |
18,014 |
13,781 |
$171K |
| 64643 |
|
988 |
783 |
$166K |
| 69436 |
|
2,077 |
1,956 |
$163K |
| J2405 |
Ondansetron hcl injection |
25,123 |
19,816 |
$161K |
| 96366 |
|
2,323 |
1,446 |
$161K |
| 93308 |
|
2,255 |
1,978 |
$159K |
| 83036 |
|
5,446 |
4,979 |
$156K |
| 93356 |
|
1,022 |
880 |
$156K |
| 95816 |
|
733 |
656 |
$144K |
| 72170 |
|
1,928 |
1,770 |
$144K |
| J7120 |
Ringers lactate infusion |
8,329 |
6,754 |
$139K |
| C1769 |
Guide wire |
1,195 |
1,027 |
$136K |
| 90686 |
|
3,870 |
3,561 |
$133K |
| 74019 |
|
1,646 |
1,513 |
$126K |
| 93225 |
|
1,198 |
1,025 |
$125K |
| 42820 |
|
1,596 |
1,494 |
$119K |
| 76885 |
|
1,599 |
1,416 |
$119K |
| 92523 |
|
861 |
837 |
$114K |
| J0475 |
Baclofen 10 mg injection |
807 |
714 |
$113K |
| 86850 |
|
2,119 |
1,517 |
$104K |
| 94060 |
|
678 |
625 |
$102K |
| 87070 |
|
2,410 |
2,181 |
$100K |
| 62369 |
|
223 |
206 |
$94K |
| 82330 |
|
2,023 |
1,807 |
$91K |
| 80048 |
|
4,058 |
3,523 |
$87K |
| 76700 |
|
970 |
913 |
$80K |
| 87631 |
|
1,336 |
1,218 |
$80K |
| J1170 |
Hydromorphone injection |
5,545 |
4,953 |
$79K |
| J1885 |
Ketorolac tromethamine inj |
14,775 |
12,170 |
$77K |
| 84443 |
|
4,627 |
4,246 |
$74K |
| 92526 |
|
1,671 |
1,354 |
$74K |
| 96372 |
|
479 |
426 |
$74K |
| 85007 |
|
11,418 |
8,567 |
$68K |
| 80061 |
|
2,509 |
2,230 |
$68K |
| 77072 |
|
1,178 |
1,119 |
$68K |
| 96360 |
|
3,249 |
2,949 |
$65K |
| 80069 |
|
3,256 |
2,539 |
$63K |
| 76376 |
|
1,229 |
1,118 |
$62K |
| 96413 |
|
2,216 |
1,345 |
$62K |
| 76536 |
|
640 |
604 |
$60K |
| 87081 |
|
1,654 |
1,535 |
$56K |
| 72141 |
|
296 |
269 |
$55K |
| 94664 |
|
516 |
485 |
$55K |
| J0586 |
Abobotulinumtoxina |
1,392 |
1,178 |
$55K |
| 87880 |
|
1,871 |
1,733 |
$54K |
| 76870 |
|
494 |
454 |
$53K |
| 89050 |
|
1,946 |
1,395 |
$52K |
| J0690 |
Cefazolin sodium injection |
5,684 |
4,746 |
$50K |
| 94010 |
|
874 |
821 |
$49K |
| 86364 |
|
667 |
624 |
$49K |
| 70360 |
|
654 |
604 |
$47K |
| 72148 |
|
429 |
400 |
$46K |
| 87186 |
|
2,473 |
2,258 |
$43K |
| 73090 |
|
847 |
779 |
$42K |
| 72040 |
|
658 |
586 |
$40K |
| 96409 |
|
3,111 |
1,828 |
$39K |
| 83735 |
|
5,683 |
3,380 |
$39K |
| 71045 |
|
1,097 |
975 |
$38K |
| 87799 |
|
1,696 |
762 |
$38K |
| 97162 |
|
424 |
414 |
$38K |
| 43239 |
|
1,613 |
1,461 |
$38K |
| 82784 |
|
5,576 |
3,826 |
$36K |
| 73590 |
|
531 |
474 |
$36K |
| 84439 |
|
4,195 |
3,821 |
$36K |
| 82306 |
|
4,863 |
4,444 |
$36K |
| 87507 |
|
338 |
325 |
$34K |
| 86901 |
|
2,208 |
1,575 |
$33K |
| 76825 |
|
141 |
125 |
$32K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,677 |
1,515 |
$31K |
| 93320 |
|
3,482 |
3,176 |
$31K |
| A9585 |
Gadobutrol injection |
3,071 |
2,803 |
$28K |
| 76856 |
|
486 |
456 |
$28K |
| 67311 |
|
390 |
363 |
$26K |
| 80076 |
|
797 |
723 |
$26K |
| 93321 |
|
3,801 |
3,381 |
$25K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
33 |
27 |
$25K |
| 92567 |
|
1,187 |
1,139 |
$24K |
| 97112 |
|
591 |
455 |
$23K |
| 94640 |
|
2,269 |
1,860 |
$23K |
| 96361 |
|
2,532 |
2,278 |
$22K |
| 70486 |
|
269 |
255 |
$22K |
| 80197 |
|
3,736 |
1,919 |
$22K |
| J0461 |
Atropine sulfate injection |
763 |
649 |
$22K |
| 95812 |
|
120 |
110 |
$21K |
| 73721 |
|
72 |
67 |
$21K |
| 73080 |
|
179 |
169 |
$21K |
| 36430 |
|
917 |
567 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
2,539 |
2,223 |
$20K |
| 90471 |
|
4,292 |
3,940 |
$19K |
| 73630 |
|
357 |
327 |
$19K |
| 95951 |
|
40 |
39 |
$19K |
| 82610 |
|
790 |
683 |
$18K |
| 86003 |
|
987 |
473 |
$18K |
| 83970 |
|
751 |
675 |
$18K |
| 72082 |
|
199 |
194 |
$18K |
| 96415 |
|
402 |
307 |
$18K |
| 92610 |
|
428 |
399 |
$17K |
| 93226 |
|
814 |
763 |
$17K |
| 86140 |
|
8,953 |
7,740 |
$16K |
| 82785 |
|
541 |
500 |
$16K |
| 86900 |
|
2,231 |
1,583 |
$16K |
| 82397 |
|
875 |
817 |
$16K |
| 85651 |
|
6,265 |
5,557 |
$16K |
| U0005 |
Infec agen detec ampli probe |
238 |
219 |
$15K |
| 82570 |
|
2,148 |
1,859 |
$15K |
| 81003 |
|
1,772 |
1,635 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
1,912 |
1,290 |
$14K |
| 74455 |
|
1,016 |
958 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
1,101 |
924 |
$13K |
| J9370 |
Vincristine sulfate 1 mg inj |
2,477 |
1,580 |
$13K |
| 74177 |
|
204 |
190 |
$13K |
| 42830 |
|
103 |
96 |
$13K |
| 73610 |
|
331 |
293 |
$12K |
| 83516 |
|
2,449 |
2,283 |
$12K |
| 82977 |
|
3,078 |
2,491 |
$12K |
| 84100 |
|
4,212 |
2,760 |
$12K |
| G0108 |
Diab manage trn per indiv |
429 |
398 |
$12K |
| 72100 |
|
148 |
124 |
$12K |
| 54161 |
|
850 |
769 |
$12K |
| J3490 |
Drugs unclassified injection |
426 |
345 |
$12K |
| 92018 |
|
152 |
128 |
$12K |
| 76827 |
|
141 |
125 |
$11K |
| 82728 |
|
2,764 |
2,326 |
$11K |
| 95700 |
|
48 |
44 |
$11K |
| 82248 |
|
1,006 |
813 |
$10K |
| 84403 |
|
351 |
323 |
$10K |
| 85610 |
|
2,726 |
2,276 |
$10K |
| 51600 |
|
1,023 |
966 |
$10K |
| 0100U |
|
235 |
195 |
$10K |
| 73140 |
|
90 |
83 |
$10K |
| S5000 |
Prescription drug, generic |
13 |
13 |
$9K |
| 87040 |
|
2,008 |
1,768 |
$9K |
| 86356 |
|
85 |
37 |
$9K |
| 12011 |
|
485 |
453 |
$9K |
| J2270 |
Morphine sulfate injection |
722 |
561 |
$8K |
| 20680 |
|
36 |
24 |
$8K |
| 84466 |
|
1,810 |
1,654 |
$8K |
| 83615 |
|
1,595 |
1,207 |
$8K |
| 83690 |
|
1,862 |
1,662 |
$7K |
| 87389 |
|
89 |
78 |
$7K |
| 92587 |
|
320 |
305 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
366 |
327 |
$7K |
| 81229 |
|
12 |
12 |
$7K |
| 97166 |
|
103 |
101 |
$7K |
| 87147 |
|
939 |
857 |
$7K |
| 83880 |
|
489 |
383 |
$6K |
| J1720 |
Hydrocortisone sodium succ i |
61 |
39 |
$6K |
| 73130 |
|
93 |
84 |
$6K |
| 51728 |
|
134 |
126 |
$6K |
| 86923 |
|
558 |
258 |
$6K |
| J0171 |
Adrenalin epinephrine inject |
61 |
52 |
$6K |
| 97802 |
|
161 |
146 |
$6K |
| 70250 |
|
65 |
56 |
$6K |
| 87077 |
|
561 |
502 |
$6K |
| 96411 |
|
773 |
418 |
$6K |
| 82043 |
|
969 |
863 |
$6K |
| J1745 |
Infliximab not biosimil 10mg |
48 |
38 |
$6K |
| 86832 |
|
49 |
38 |
$6K |
| 82550 |
|
1,255 |
1,066 |
$6K |
| J9250 |
Methotrexate sodium inj |
1,742 |
1,089 |
$6K |
| J8540 |
Oral dexamethasone |
1,565 |
1,405 |
$6K |
| 51797 |
|
117 |
110 |
$5K |
| 51784 |
|
98 |
93 |
$5K |
| 83540 |
|
1,926 |
1,756 |
$5K |
| 73110 |
|
69 |
64 |
$5K |
| 93296 |
|
141 |
131 |
$5K |
| 72070 |
|
151 |
125 |
$5K |
| 69209 |
|
94 |
84 |
$5K |
| 83002 |
|
335 |
298 |
$5K |
| P9040 |
Rbc leukoreduced irradiated |
51 |
41 |
$5K |
| 73552 |
|
79 |
65 |
$5K |
| 74220 |
|
14 |
13 |
$5K |
| 97803 |
|
203 |
186 |
$5K |
| 72146 |
|
98 |
91 |
$4K |
| 97140 |
|
332 |
257 |
$4K |
| 92555 |
|
131 |
124 |
$4K |
| 74240 |
|
27 |
26 |
$4K |
| 87088 |
|
584 |
536 |
$4K |
| 88304 |
|
449 |
400 |
$4K |
| 84156 |
|
879 |
719 |
$4K |
| 84145 |
|
522 |
466 |
$4K |
| 84550 |
|
898 |
658 |
$3K |
| 84484 |
|
68 |
60 |
$3K |
| 70480 |
|
13 |
13 |
$3K |
| 85730 |
|
1,312 |
1,100 |
$3K |
| 76506 |
|
30 |
26 |
$3K |
| 86833 |
|
47 |
37 |
$3K |
| 87497 |
|
615 |
269 |
$3K |
| 76377 |
|
72 |
72 |
$3K |
| J1569 |
Gammagard liquid injection |
753 |
420 |
$3K |
| 93975 |
|
29 |
28 |
$3K |
| J3480 |
Inj potassium chloride |
1,498 |
1,208 |
$3K |
| 73562 |
|
41 |
38 |
$3K |
| 54640 |
|
44 |
41 |
$3K |
| 82810 |
|
316 |
177 |
$3K |
| 76882 |
|
62 |
55 |
$3K |
| 84305 |
|
421 |
387 |
$3K |
| 88185 |
|
67 |
54 |
$3K |
| 43760 |
|
13 |
12 |
$3K |
| 84630 |
|
352 |
323 |
$3K |
| T1015 |
Clinic service |
295 |
207 |
$3K |
| 83605 |
|
68 |
63 |
$3K |
| V5264 |
Ear mold/insert |
335 |
315 |
$3K |
| 45380 |
|
26 |
25 |
$2K |
| 99211 |
|
184 |
102 |
$2K |
| 82247 |
|
76 |
50 |
$2K |
| 76981 |
|
12 |
12 |
$2K |
| 87184 |
|
1,194 |
1,090 |
$2K |
| 82805 |
|
31 |
26 |
$2K |
| 87591 |
|
188 |
164 |
$2K |
| 31622 |
|
24 |
24 |
$2K |
| 88342 |
|
211 |
177 |
$2K |
| 82105 |
|
108 |
100 |
$2K |
| 86038 |
|
356 |
333 |
$2K |
| 91200 |
|
15 |
13 |
$2K |
| 86480 |
|
124 |
115 |
$2K |
| 77076 |
|
14 |
12 |
$2K |
| 85379 |
|
176 |
130 |
$2K |
| 86039 |
|
18 |
14 |
$2K |
| 82139 |
|
112 |
104 |
$2K |
| G0480 |
Drug test def 1-7 classes |
146 |
125 |
$2K |
| 12001 |
|
92 |
81 |
$2K |
| 86160 |
|
463 |
404 |
$2K |
| 73060 |
|
12 |
12 |
$2K |
| 0071A |
|
67 |
62 |
$2K |
| 86803 |
|
296 |
251 |
$1K |
| 78708 |
|
12 |
12 |
$1K |
| 84703 |
|
27 |
25 |
$1K |
| 83520 |
|
134 |
115 |
$1K |
| 97161 |
|
13 |
12 |
$1K |
| 49452 |
|
120 |
112 |
$1K |
| 86359 |
|
157 |
136 |
$1K |
| C1894 |
Intro/sheath, non-laser |
357 |
288 |
$1K |
| 83655 |
|
107 |
90 |
$1K |
| 71260 |
|
108 |
93 |
$1K |
| 72197 |
|
14 |
13 |
$1K |
| 97116 |
|
125 |
97 |
$1K |
| 88307 |
|
91 |
76 |
$1K |
| 82017 |
|
15 |
14 |
$983.43 |
| 80164 |
|
79 |
68 |
$965.05 |
| 83001 |
|
231 |
206 |
$943.93 |
| 96367 |
|
231 |
169 |
$932.88 |
| 71250 |
|
14 |
13 |
$929.60 |
| 88240 |
|
82 |
65 |
$919.37 |
| 99001 |
|
31 |
30 |
$918.83 |
| J2920 |
Methylprednisolone injection |
62 |
38 |
$846.87 |
| 85046 |
|
1,883 |
1,590 |
$827.97 |
| 93010 |
|
218 |
212 |
$784.76 |
| 87491 |
|
188 |
164 |
$760.97 |
| 88313 |
|
69 |
49 |
$725.28 |
| 31720 |
|
14 |
12 |
$723.63 |
| 96376 |
|
20 |
12 |
$649.28 |
| 86706 |
|
171 |
151 |
$596.38 |
| 92579 |
|
73 |
72 |
$578.11 |
| 70355 |
|
39 |
38 |
$572.32 |
| 36415 |
|
288 |
224 |
$528.43 |
| 86665 |
|
83 |
77 |
$514.29 |
| V5266 |
Battery for hearing device |
466 |
445 |
$510.77 |
| 0072A |
|
17 |
17 |
$490.62 |
| 90656 |
|
92 |
92 |
$477.20 |
| 84590 |
|
65 |
56 |
$464.11 |
| 92552 |
|
12 |
12 |
$453.18 |
| 93976 |
|
47 |
44 |
$441.94 |
| J1644 |
Inj heparin sodium per 1000u |
285 |
214 |
$406.99 |
| 82379 |
|
62 |
60 |
$375.16 |
| 92556 |
|
12 |
12 |
$348.16 |
| 0004A |
|
14 |
14 |
$339.66 |
| 86376 |
|
332 |
308 |
$293.43 |
| 88184 |
|
68 |
55 |
$274.90 |
| 97124 |
|
414 |
324 |
$246.37 |
| 87496 |
|
30 |
25 |
$233.68 |
| 94726 |
|
13 |
12 |
$216.54 |
| 86360 |
|
14 |
13 |
$208.84 |
| 87340 |
|
324 |
283 |
$203.81 |
| 87798 |
|
34 |
25 |
$195.00 |
| 84446 |
|
55 |
46 |
$189.10 |
| 86225 |
|
63 |
57 |
$183.24 |
| 73120 |
|
15 |
12 |
$175.40 |
| 86355 |
|
132 |
102 |
$167.68 |
| 85246 |
|
44 |
38 |
$137.96 |
| 87116 |
|
17 |
16 |
$84.07 |
| 73560 |
|
15 |
12 |
$76.28 |
| 98960 |
|
13 |
13 |
$73.44 |
| Q0162 |
Ondansetron oral |
14 |
12 |
$64.80 |
| 84460 |
|
82 |
79 |
$61.39 |
| 86431 |
|
43 |
38 |
$55.58 |
| 82085 |
|
17 |
15 |
$43.16 |
| 88311 |
|
43 |
38 |
$37.84 |
| 84295 |
|
18 |
14 |
$26.75 |
| 86790 |
|
29 |
24 |
$23.62 |
| C1751 |
Cath, inf, per/cent/midline |
85 |
66 |
$22.40 |
| 82657 |
|
23 |
12 |
$20.06 |
| 86800 |
|
27 |
27 |
$19.64 |
| 84146 |
|
14 |
12 |
$11.31 |
| 82150 |
|
20 |
15 |
$7.20 |
| 86592 |
|
17 |
12 |
$4.74 |
| Q5104 |
Injection, renflexis |
133 |
123 |
$0.00 |
| 95990 |
|
59 |
53 |
$0.00 |
| V5008 |
Hearing screening |
41 |
39 |
$0.00 |
| 95715 |
|
13 |
13 |
$0.00 |
| 31526 |
|
16 |
13 |
$0.00 |
| G0378 |
Hospital observation per hr |
79 |
57 |
$0.00 |
| 82670 |
|
42 |
40 |
$0.00 |
| 82607 |
|
16 |
12 |
$0.00 |
| 86704 |
|
16 |
12 |
$0.00 |
| 86357 |
|
13 |
12 |
$0.00 |
| 25605 |
|
15 |
13 |
$0.00 |
| 24538 |
|
31 |
29 |
$0.00 |
| 29125 |
|
14 |
14 |
$0.00 |
| 92611 |
|
94 |
93 |
$0.00 |
| 85384 |
|
23 |
15 |
$0.00 |
| A9562 |
Tc99m mertiatide |
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
32 |
25 |
$0.00 |
| 88302 |
|
24 |
20 |
$0.00 |
| 29105 |
|
12 |
12 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
15 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
13 |
$0.00 |